What are IUD/IUS (Coils)?
Coils are small T shaped devices that are fitted to sit inside your uterus (womb).
The copper IUD is a reliable method which can last five to ten years, although it can be easily removed at any time. It has no hormones in it, so women using this method continue to have periods as usual.
The IUS is also a reliable contraceptive. It lasts up to 8 years for contraception (device dependant) and 5 years for HRT, but can be removed easily at any time. It contains a progestogen hormone which makes your periods much lighter and may even make them disappear.
Please take a minute to read the following information before you book your appointment.
- We may not be able to fit your IUD/IUS if we think you are at risk of pregnancy. See the next section for more information.
- Keeping an IUD/IUS or an implant for longer than they are licensed is not recommended and you should start another contraceptive method such as condoms or the progestogen only pill as soon as your IUD/IUS or implant goes out of date.
- We can usually change your IUD/IUS even if the threads are not visible but sometimes we can’t. If we can’t remove your IUD/IUS then we will refer you to a specialist clinic. We might also arrange for you to have an ultrasound scan and/or X-ray.
- It is possible to fit an IUD/IUS when you are on your period, so you do not need to cancel or rebook for this reason.
Where do you go to have the IUD/IUS fitted?
Your GP – you may be able to attend your GP practice if they provide this service or Borders Sexual Health (please note appointments for coil fitting in Sexual Health is only for people who live in the Scottish Borders)
Booking an appointment
To book an appointment at one of our clinics please call 01896 663700. You will then speak to a receptionist who will make an appointment for you. If they are not available please leave a message with your name, date of birth and a contact number so that they can get back to you. Please note if there are no appointments you will be added to a waiting list. Before we fit the device we need to be sure that you are suitable to have an IUD/IUS and that you have all the information that you need.
How should I prepare for my coil fitting or coil change?
- Only have protected sex in the 3 weeks before your appointment if you are coming to get a coil fitted and don’t have one in already, or if your current coil is out of date. Protected sex means sex with an in date form of contraception that you have been using correctly like condoms, pills, patches, rings, jag, implant or male/female sterilisation. We may not be able to fit your coil if you have had unprotected sex.
- Only have protected sex in the 7 days before your appointment if you are coming to get your coil changed and if the current coil is in date.
On the day of your appointment
- Have something to eat and drink before you come.
- Take painkillers eg. paracetamol or ibuprofen (if suitable) 1 hour before your appointment.
- Talk to us if you have any worries or concerns. Most people who want a coil manage to have it fitted. However, some people find having a coil fitted especially difficult, such as those who have experienced sexual assault or trauma. We will always treat you with respect and we will always stop if you are sore or upset. We encourage you to talk to us about your concerns or worries when you come to see us (or you / your GP can contact us in advance) as there are often things we can do to make the procedure more comfortable for you.
- Bring something to keep you occupied. For example, some people like to listen to music on their phone during the procedure.
- Bring a sanitary pad – you may have some bleeding after the insertion.
- Think about how you are getting home. Some people can experience cramps or occasionally feel unwell after a coil fitting. You may want to have someone to accompany you home.
After your appointment
We will give you an information leaflet after you have your IUD/IUS fitted but it might be helpful to know a few things just now.
- You may need painkillers such as paracetamol and/or ibuprofen for pain. You might also want to take it easy for the rest day. Some people find hot water bottles helpful for cramps.
- Don’t use tampons or menstrual cups for the first 3-4 weeks. Sanitary pads are fine.
- Check your threads after 4-6 weeks by placing one or two fingers gently inside the vagina. If you are unable to feel them you should contact Borders Sexual Health or your GP surgery who will be able to help.
- Avoid sex or use condoms or other contraception for 7 days after having a hormone IUD fitted.
